The Super PCP: How eConsults enhance primary care capacity

June 20, 2018

TOPICS: Primary Care
The ‘Super PCP’-How eConsults enhance quality primary care capacities image

By Brooke LeVasseur, CEO of AristaMD

As a shortage of specialists looms and the effectiveness of referral processes wanes, healthcare looks toward innovative solutions to enhance quality primary care and capacity at the front line of care for our patient population. Through strengthening this effective and efficient care setting, access and outcomes improve. Learn more about how telehealth technologies, specifically eConsults, are proving a valuable resource to enhance primary care through increased capacity.

An estimated 209,0001 primary care physicians (PCPs) are caring for a population fast approaching 325 million2.

As America’s baby boomers age, PCPs have steadily increased the volume of cases referred to specialist care by having more than doubled since 19993. However, the country is also projecting a deficit of 95,000 specialty physicians by 20254.

The rising tide of demand and waning supply of physicians has resulted in a less effective and more costly specialty referral process. Referrals often lack complete medical workups, are sent to the wrong specialist, or are inappropriate for specialist attention. Long delays for PCPs to receive the results from specialist visits decrease a PCP’s ability to optimize patient care. Most importantly, referral issues may delay the necessary patient treatment and lower satisfaction with the care process.

One solution to overcoming the specialist shortage is to increase the breadth of capabilities maintained by PCPs.

To do so, PCPs must embrace tools that extend their clinical domain without delegating patient care to specialists, essentially becoming “Super PCPs.” This expansion of capabilities is consistent with the evolution of the Patient-Centered Medical Home (PCMH) model of quality primary care that strengthens relationships between patients and their clinical care teams.

In line with PCMH principles, the ability of PCPs to grow their medical reach supports the reduction of care fragmentation associated with higher costs, lower quality, and higher rates of preventable hospitalizations. More integrated care can help patients avoid costly complications and produce better outcomes.

The move toward increased care capacities to enhance primary care practice is supported by evolving telehealth solutions, including eConsult platforms that guide clinical decision-making.

Without delegating patient care to a specialist, the PCP can use AristaMD eConsults to gain immediate access to board-certified specialists covering >70 specialty areas via a secure, HIPAA-compliant communication platform.

Clinical workup checklists and eConsults work together to empower PCPs with immediate access to specialist insights leading to operational, financial, and clinical benefits for all healthcare stakeholders.

When embraced, eConsults became a tool for providers to help them become a ‘Super PCP.’ eConsults help PCPs serve as the sole provider to the patient.

Dr. Christopher Dodd, Chief Care Transformation Officer of ConcertoHealth.

eConsult solutions enhance quality primary care to benefit health insurers, patients, and providers.

Payors

Health insurers benefit from more timely access to specialist consultation, thus improving member satisfaction and expediting necessary treatment.

Secondarily, by keeping a higher percentage of patients within the primary care setting, health plans significantly reduce unnecessary expenditures by eliminating unnecessary specialist visits. Furthermore, freeing up limited specialist appointments ensures timely access to care when it is needed, thereby reducing unnecessary ED visits and the need for hospitalization.

Patients

By retaining patients within the primary care setting, there is less opportunity for care coordination to break down. There are fewer appointments, less travel, less transfer of medical information, and more rapid progression from diagnosis to treatment.

Patients benefit from consistent follow-up from the provider with whom they have a longstanding relationship. When a specialist visit is necessary, appointments can be available sooner as eConsults prevent low acuity patients who the PCP can safely treat from filling the specialist’s schedule.

Additionally, patients without access to or afford specialist care receive consultation and treatment plans.

Providers

Super PCPs benefit in many ways. eConsults enable physicians to expand their care capabilities and increase their medical knowledge. Clinical workup checklists help PCPs assess and treat conditions commonly presented to primary care but previously transferred into specialist care. Fewer inappropriate referrals and complete information sharing translate to higher patient satisfaction and retention.

At a higher level, health systems benefit by using eConsults to improve access to specialty care, better manage population health initiatives, streamline care coordination, improve patient satisfaction scores, and support quality metrics initiatives.

“With the knowledge gained from the eConsult reports, providers can better manage more patient conditions independently. With the education provided by specialist recommendations, they realized that a referral would not be necessary if presented with the same problem in the future.

Dr. Dara Richards, CMO of Southwest Health

The AristaMD eConsult platform is a tool designed to enhance primary care, encourage the evolution of ‘Super PCPs,’ and support PCMH principles. Equipped with clinical workup checklists and specialist eConsults, frontline PCPs can improve the patient’s ability to access timely specialist care while simultaneously expanding and securing their practice, reducing the cost of maintenance and increasing patient satisfaction.

We encourage you to request a demo and learn more about how the AristaMD eConsult platform enables PCPs to enhance primary care through timely access to specialist expertise.

[1] AHRQ. The Number of Practicing Primary Care Physicians in the United States: Primary Care Workforce Facts and Stats No. 1. https://www.ahrq.gov/research/findings/factsheets/primary/pcwork1/index.html
[2] US Census Bureau. https://www.census.gov/popclock/
[3] Barnett ML, Song Z, Landon BE. Trends in Physician Referrals in the United States, 1999-2009. Arch Intern Med. 2012;172(2):163–170.
[4] The Complexities of Physician Supply and Demand: Projections from 2013 to 2025. Association of American Medical Colleges. 2015.